{
  "resourceType" : "Observation",
  "id" : "iptp-adr-002",
  "meta" : {
    "profile" : ["http://iptp.kemri.go.ke/fhir/StructureDefinition/iptp-adr-observation"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation iptp-adr-002</b></p><a name=\"iptp-adr-002\"> </a><a name=\"hciptp-adr-002\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-iptp-adr-observation.html\">IPTp Adverse Drug Reaction Observation</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 281647001}\">Adverse reactions</span></p><p><b>subject</b>: <a href=\"Patient-iptp-patient-001.html\">Anonymous Patient Female, DoB Unknown</a></p><p><b>effective</b>: 2026-04-20 11:30:00+0300</p><p><b>value</b>: <span title=\"Codes:{http://iptp.kemri.go.ke/fhir/CodeSystem/iptp-code-system adr-severe}\">Severe ADR</span></p><p><b>note</b>: </p><blockquote><div><p>Action: immediate facility referral; CHP urgent follow-up queue; facility alert; pharmacovigilance reporting queue; InfoAFYA blocked until resolved</p>\n</div></blockquote><h3>Components</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 75326-9}\">Problem</span></td><td>Severe rash, swelling, and difficulty breathing</td></tr></table></div>"
  },
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "survey"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "281647001"
    }]
  },
  "subject" : {
    "reference" : "Patient/iptp-patient-001"
  },
  "effectiveDateTime" : "2026-04-20T11:30:00+03:00",
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "http://iptp.kemri.go.ke/fhir/CodeSystem/iptp-code-system",
      "code" : "adr-severe",
      "display" : "Severe ADR"
    }]
  },
  "note" : [{
    "text" : "Action: immediate facility referral; CHP urgent follow-up queue; facility alert; pharmacovigilance reporting queue; InfoAFYA blocked until resolved"
  }],
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "75326-9",
        "display" : "Problem"
      }]
    },
    "valueString" : "Severe rash, swelling, and difficulty breathing"
  }]
}